| Gogebic County Community Mental Health Authority | |
|
103 W Us Highway 2 Wakefield MI 49968-9515 | |
| (906) 229-6100 | |
| (906) 229-6191 |
| Full Name | Gogebic County Community Mental Health Authority |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 103 W Us Highway 2, Wakefield, Michigan |
| Authorized Official Name and Position | Tess Greenough (CEO) |
| Authorized Official Contact | 9062296100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gogebic County Community Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 | Gogebic County Community Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 |
| NPI Number | 1396396180 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396396180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Gogebic County Community Mental Health Authority Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103 W Us Highway 2, Wakefield, MI 49968 Phone: 906-229-6100 Fax: 906-229-6191 |